TROUSDALE FOUNDATION, INC BENCHMARK HEALTHCARE OF DANE COUNTY (NPI# 1003819616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003819616 |
| Entity Type | Organization |
| Organization Name | TROUSDALE FOUNDATION, INC BENCHMARK HEALTHCARE OF DANE COUNTY |
| Other Organization Name | HEARTLAND COUNTRY VILLAGE |
| Practice Address |
634 Center St Black Earth WI 53515-9544 |
| Practice Telephone | 6087672572 |
| Practice Fax Number | 6087672565 |
| Mailing Telephone | 6087672572 |
| Mailing Fax Number | 6087672565 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2019-03-28 |
| Authorized Official Name | MR. KENNETH C HART JR. (TREASURER) |
| Authorized Official Telephone | 4235846755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 2944 | WI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 20182900 | 05 |
| Other Name | Type Code |
|---|---|
| Heartland Country Village | Doing Business As Name - Organization |
| Street Address |
634 CENTER ST |
| City | BLACK EARTH |
| State | WI |
| Zip Code | 53515-9544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699317495 | Bailey Lynn Brokmeier | Occupational Therapy Assistant | 634 Center St, Black Earth, WI 53515-9544 | 2019-10-13 |
| 1417495417 | Amy Treichel | Occupational Therapist | 634 Center St, Black Earth, WI 53515-9544 | 2017-02-09 |
| 1013454628 | Michele Deanna Hyman | Physical Therapist | 634 Center St, Black Earth, WI 53515-9544 | 2017-01-21 |
| 1609318203 | Judith Boss | Speech-Language Pathologist | 634 Center St, Black Earth, WI 53515-9544 | 2016-11-14 |
| 1073787388 | Charles Kurt Reinhold | Physical Therapist | 634 Center St, Black Earth, WI 53515-9544 | 2008-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275026650 | Hegerfeld Chiropractic LLC | Chiropractor | 9749 Kahl Road, Black Earth, WI 53515 | 2018-06-11 |
| 1174500813 | Village Family Dental Asscociates | Dentist | 1209 Mills St, Black Earth, WI 53515-9420 | 2005-12-23 |
| 1215906243 | Stacy J Schmidt | Dental Hygienist | 1209 Mills St, Black Earth, WI 53515-9420 | 2006-03-14 |
| 1790765659 | Melinda A Heathcote | Dental Hygienist | 1209 Mills St, Black Earth, WI 53515-9420 | 2006-01-18 |
| 1285614131 | Maria Coffey | Dental Hygienist | 1209 Mills St, Black Earth, WI 53515-9420 | 2006-01-18 |
| 1124007844 | Todd A Stahnke | Dentist | 1209 Mills St, Black Earth, WI 53515-9420 | 2006-01-11 |
| 1174588982 | Linnea J. Smith | Emergency Medicine | 1518 Mills St, Black Earth, WI 53515-9423 | 2006-04-18 |
| 1215445499 | Tessa Slama | Behavioral Analyst | 1100 Hillcrest Rd, Black Earth, WI 53515-9439 | 2018-01-22 |
| 1972841278 | Nicole Ducharme | Chiropractor | 4866 Carya Rd, Black Earth, WI 53515-9508 | 2013-01-21 |
| 1003058710 | Jpm Chiropractic LLC | Chiropractor | 9749 Kahl Rd, Black Earth, WI 53515-9516 | 2009-03-26 |
| Find all providers in zip 53515 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962369 | Heritage Assisted Living, LLC | Skilled Nursing Facility | 5020 S 107th St, Greenfield, WI 53228-3267 | 2020-04-30 |
| 1235762881 | Imr Oak Creek Opco, LLC | Skilled Nursing Facility | 2700 West Honadel Boulevard, Oak Creek, WI 53154 | 2020-02-21 |
| 1831693936 | Golden Years Nursing Home, Inc. | Skilled Nursing Facility | 611 Harmony Dr, Lake Geneva, WI 53147-8800 | 2018-03-22 |
| 1801302732 | Oak Park Place of Janesville, LLC | Skilled Nursing Facility | 700 Myrtle Way, Janesville, WI 53545-9101 | 2017-12-14 |
| 1235674839 | Zachary Rader | Skilled Nursing Facility | 645 N Church St, Elkhorn, WI 53121-2204 | 2017-01-05 |
| 1982155248 | The Bethany-st. Joseph Corporation D/b/a Prairie Pointe Rehab Suites | Skilled Nursing Facility | 286 N. Willson Dr, Altoona, WI 54720 | 2016-10-20 |
| 1316492317 | Darcy Christiansen | Skilled Nursing Facility | 4427 E Pic A Dilly Dr, Janesville, WI 53546-9606 | 2016-08-19 |
| 1366895583 | Jeffrey Alan Weinshrott | Skilled Nursing Facility | 336 Wisconsin Ave, Sheboygan, WI 53081-4183 | 2016-07-22 |
| 1720433378 | Kendra Meyers | Skilled Nursing Facility | 1806 N Hume Ave Apt 4, Marshfield, WI 54449-1677 | 2016-05-02 |
| 1952756991 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 206 North Willson Drive, Altoona, WI 54720 | 2016-04-27 |
| Find all providers with the same taxonomy | ||||
| City | BLACK EARTH |
| Zip Code | 53515 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.